Hanging Columella Reduction Under Local Anesthesia

I read your concern, and I reviewed the photo you posted. You may require revision rhinoplasty performed with general anestheitc to prevent your columella from hooking down when you smile. I doubt you would get significant improvement by having only your septum reduced under local anesthetic.

You'll likely need to have your tip supported with a cartilage graft (C-strut), and have your lower lateral cartilages divided to allow your columella to rise up. Septal shortening may be performed at the same operation.

All the best from NJ.

Hi,

This procedure can certainly be done under local anesthesia.  

The best way to tell if you are a good candidate for this proceedure is to have a set of photos from the sides, 3/4 views, the front, and from under (worms eye).  The next step would be with a physical examination to determine the condition of the septum.  In some cases, the septum may have been removed or trimmed to allow for elevation of the collumella, but that does not always work.  If this is the case, then some cartilage grafting will have to be preformed.  

In general, the injections required for local anesthesia are the most bothersome part of the proceedure.  Once you are numb, you should have a very smooth procedure.  

I hope this helps.

Dr. Torkian - Lasky Clinic, Beverly Hills.